190x Filetype XLS File size 0.19 MB Source: files.nc.gov
Area NCTracks Report Legacy Report DMH LME Name Number Number Needed? Needed? Prior Authorization AR0500-R0440 Y Y PA Eligibility Pending Report Prior Authorization AR0500-R0790 IPKR1202 Y Y Prior Approval Eligibility Pending over 21 Days Prior Authorization AR0500-R0800 IPPR0751 Y N PA Units/Dollars of Expended vs. Authorized Prior Authorization AR0500-R0810 IPKR1201 Y Y Prior Approval Pending Beyond Alert Date Prior Authorization AR0500-R0820 IPKR7021 Y Y Active Exhausted Prior Approval Report Prior Authorization AR0500-R0830 IPKR9961 Y Y Prior Approval Expenditure Tracking Report Prior Authorization AR0500-R0840 IPKR7101 Y Y Overlapping Prior Approval Alert Report Prior Authorization AR0500-R0850 IPKR7081 Y Y Active Prior Approval Report Issuing IPKR7082 Provider/Benefit Plan Prior Authorization AR0500-R0870 IPKR7911 Y Y Prior Approval Extension File Listing by Benefit Plan Report Prior Authorization AR0500-R0880 IPKR7001 Y Y Audit Reports for Post Payment Review Prior Authorization AR0500-R0980 IPKR1203 Y N PA Eligibility Pending Name Mismatch Report Recipient BM10200-R0010 IPKR0201 Y N DMH Recipient Eligibility Receipt Summary Recipient BR10201-R0010 IPKR1971 Y Y DMH Recipient Edit Error Report Recipient BR12001-R0010 Y Y DMH Recipient Eligibility Cross-Reference Update Report Recipient BR12002-R0010 IPKR1951 Y Y DMH Cross-Reference Updates Without Eligibility Recipient BR12003-R0010 IPKR9001 Y Y DMH Recipient Eligibility Error Report Recipient BR12004-R0010 IPKR9002 Y Y DMH Recipient Eligibility Update Report Recipient BR12005-R0010 Y N DMH Recipient - CNDS Error Report Recipient BR12006-R0010 IPKR1060 Y Y DMH Recipient Discrepancy Demographic Data Report Recipient BR12008-R0010 IPKR3731 Y Y Recipient Count per Eligibility Program Report Recipient BR12008-R0011 IPKR3841 Y Y Active Recipient Enrollment Report Recipient BR12009-R0010 IPKR3801 Y Y Client Eligibility Expiration Alert by Attending Provider Report Recipient BR12010-R0010 IPKR3751 Y Y Client Eligibility Expiration Alert Report Recipient BR20505-R0010 IPKR1501 Y Y DMH Eligibility Combine Report Recipient BR60900-R0010 IPKR1801 Y Y Suspect Medicaid Client Eligibility Report Claims CR10001-R0064 IPDR0611 Y N Retroactive Rate Change Forecast Claims CR20011-R0077 IPCR1851 Y Y Claims Suspended for Recipient Eligibility Report Claims CR60020-R0010 New Y N Separated Claims Report Claims CR80026-R0100 Y N Exception Report For Edits Claims CR80031-R0105 Y N Claims Processing Adjudication Summary Claims CR80032-R0106 Y N Edit Summary Claims CR80036-R0109 IPBR3201 Y N Edit Detail Report Claims CR80036-R0110 Y N Claim Submission Report By Taxonomy Claims CR80036-R0111 Y N Error Analysis Claims CR80037-R0003 Y N Financial Aged Adjustment Claims Analysis Claims CR80037-R0004 Y N Financial Aged Claims Analysis Claims CR80037-R0006 IPDR2831 Y N DHM PRIOR SFY CLAIMS WITH FINAL ADJUDICATION IN CURRENT SFY Financial FR10000-R0010 IPDR4331 Y N MHBG UCR Budget Expenditure Report by Attending Provider Financial FR10000-R0020 IPDR4321 Y N SAPTBG Budget Expenditure Report by ISAT ID Financial FR10000-R0030 IPDR4411 Y Y SAPTBG Budget Expenditure Report by Attending IPDR4431 Provider (LME Version) Financial FR10000-R0040 IPDR4451 Y Y MHBG UCR Budget Expenditure Report by Attending Provider (LME Version) Financial FR10000-R0080 IPER3801 Y Y Detail Expenditure By Attending Provider - All Services Financial FR10000-R0110 IPGR7501 Y Y Utilization Report By LME/Attending Provider/Benefit Plan - Annual Version
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